Organization
MAC2, PLLC
Active
Other names
McMillin Eyecare, William C. McMillin, OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM C MCMILLIN O.D. (OPTOMETRIST)
(423) 239-5491
Entity
Organization
Contact information
Practice address
4617 FORT HENRY DR, KINGSPORT, TN 37663-2616
(423) 239-5491
(423) 239-4860
Mailing address
4617 FORT HENRY DR, KINGSPORT, TN 37663-2616
(423) 239-5491
(423) 239-4860
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
621039107
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0258190001
DMERC
TN
Enumeration date
03/19/2008
Last updated
06/16/2018
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